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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

HEDIS Outreach Coordinator

Primary Location: Harrisburg, Pennsylvania
Additional Locations: PA-Harrisburg
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Description:
Makes
outbound calls to members to provide assistance in obtaining services (i.e.,
provide reminders, make appointments, arrange transportation, etc.) to avoid
delays in treatment and improve member health outcomes. Identifies when to
refer member to Social Worker or Case Manager.


Fundamental Components:
Facilitates
provider and member outreach to ensure member receipt of important clinical
services to improvement member health outcomes. Provides support for Healthcare
Effectiveness Data and Information Set (HEDIS) quality initiatives and
regulatory/contractual requirements including outreach to members who are
noncompliant in the designated outreach services. Supports effective medical
record capture for HEDIS medical record review and abstraction of supplemental
data.


Background Experience:
*
Min 3 years recent and related health care outreach and/or health education
experience. * Recent and related experience with HEDIS criteria * Experience in
call center environment * Strong communication skills and experience speaking
with medical providers. * Ability to work independently. * Ability to use standard
corporate software packages and corporate systems.


Additional Job Information:
This
is an exciting opportunity to work with an expanding Team within the Medicare
Healthy Outcomes Team.


Technology Experience:
Desktop Tool - Microsoft Outlook, Desktop Tool - TE Microsoft Excel

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Click To Review Our Benefits (PDF)

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